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Jordan Brush Mccreary

Nurse Practitioner Pediatric Emergency Physician Pediatric Emergency Doctor Nurse Practitioner - Family Medicine

2018 W Clinch Ave
Knoxville , Tennessee 37916-2301

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pediatric Emergency Physician
  • Pediatric Emergency Doctor
  • Nurse Practitioner
  • Nurse Practitioner - Family Medicine

Languages spoken

  • English

Location

2018 W Clinch Ave Knoxville , Tennessee 37916-2301

First Address

  • Jordan Brush Mccreary
  • 3211 Fountain Park Blvd
  • Knoxville, TN
  • Zip : 37917-2957
  • Phone : (901) 604-1851

Second Address

  • Jordan Brush Mccreary
  • 2018 W Clinch Ave
  • Knoxville, TN
  • Zip : 37916-2301
  • Phone : (865) 541-8000

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FAQs


Where did Jordan Brush Mccreary attend graduate school?

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Where did Jordan Brush Mccreary do her residency?

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Where did Jordan Brush Mccreary do her fellowship?

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Is Jordan Brush Mccreary board certified?

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What type of doctor is Jordan Brush Mccreary

Nurse Practitioner

In what state does Jordan Brush Mccreary practice in?

Tennessee

Where is Jordan Brush Mccreary ’s practice located?

2018 W Clinch Ave , Knoxville, Tennessee, 37916-2301

What is Jordan Brush Mccreary ’s gender?

Female

Is Jordan Brush Mccreary a sole practitioner?

No

Is Jordan Brush Mccreary accepting new patients?

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What languages does Jordan Brush Mccreary speak?

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Does Jordan Brush Mccreary accept insurance?

Yes, Jordan Brush Mccreary accepts insurance

Does Jordan Brush Mccreary offers telemedicine?

Jordan Brush Mccreary has not indicated if she offers telemedicine

What is Jordan Brush Mccreary ’s professional license number?

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What is Jordan Brush Mccreary ’s NPI number?

1649783705

Does Jordan Brush Mccreary have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207PP0204X Pediatric Emergency Physician 23519 TN
N 2080P0204X Pediatric Emergency Doctor 23519 TN
Y 363L00000X Nurse Practitioner 23519 TN
N 363LF0000X Nurse Practitioner - Family Medicine 23519 TN

National Provider Identifier

NPI 1649783705
Provider Name Jordan Brush Mccreary
First Address Knoxville, TN 37917-2957
Second Address Knoxville, TN 37916-2301
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 13/11/2017
Last Update Date 17/08/2021

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
2017025275 ANCC (01)
23519 STATE TENNESSEE APRN LICENSE (01) TN
MT4675370 DEA (01)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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